AHA Coding Clinic® for ICD-9 - 2005 Issue 1; Ask the Editor

Encounter for Aftercare of Healing Fracture

An eight-year-old, who has a cast on her lower leg and foot because of a fracture of her ankle, uses a pen to scratch inside the cast. The pen cap comes off inside the cast and the patient presents to the emergency department (ED) for evaluation. An examination by the ED physician showed no injury to the leg. The patient was instructed to follow-up with the orthopedist for cast replacement in one week to remove the pen cap. How should the ED encounter be coded? ...

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